Acesso cirúrgico transvaginal em NOTES (cirurgia endoscópica por orifício natural) / Transvaginal surgical access in NOTES (Natural Orificies Translumenal Endoscopic Surgery)

RESUMO

A cirurgia endoscópica por orifício natural (NOTES) é um novo conceito de cirurgia que combina a técnica de videolaparoscopia e endoscopia flexível, com o objetivo de criar uma nova técnica cirúrgica que evita incisões abdominais. Em nosso trabalho, utilizamos 6 (seis) cadelas adultas, pesando entre 10 e 20 kg para realizar a técnica de NOTES por via vaginal. Demonstramos que a via transvaginal representada um acesso viável abdominal com endoscópio flexível, para fins diagnósticos e terapêuticos, eliminando qualquer incisão abdominal e minimizando complicações pósoperatórias

ABSTRACT

The Natural Orificies Translumenal Endoscopic Surgery (NOTES) is a new concept of surgery that combines the techniques of videolaparoscop and endoscopy bendy, with th aim to creat a new surgical technique that prevents abdominal incision. From there the importance to determinate a way of transvaginal orifice to surgery by using the technique of NOTES. This study had used two mixed-bred female dogs of body weight around 20 to 40 Ibs. to realize the technique of NOTES by transvaginal orifice. We demonstrated that technique by transvaginal orifice was feasible to access abdominal cavity with an endoscope bendy, for diagnostic and therapeutic means and several examinations and surgical pathology, without abdominals incisions and minimizing the post-surgical complications